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f SOURCE RECORD BILL OF LADING <br /> Well l D Gals Well l D Gals <br /> FOR NON-HAZARDOUS PURGEWATER RECOVERED FROM TS Mw 1 1 '} T TS�k, 11 1 3d•b <br /> GROUNDWATER WELLS AT TEXACO FACILITIES 1N THE y _ <br /> STATE OF CALIFORNIA THE NON-HAZARDOUS PURGE- Ts- <br /> WATER <br /> -s <br /> WATER WHICH HAS BEEN RECOVERED FROM GROUND- <br /> WATER WELLS IS COLLECTED BY THE CONTRACTOR, TS raw 1 3 o 1 <br /> MADE UP INTO LOADS OF APPROPRIATE SIZE AND <br /> HAULED TO THE DESTINATION DESIGNATED BY TEXACO 7-s w 4 / ;LF r ! <br /> ENVIRONMENTAL SERVICES (TES) --- - - — - <br /> TsM�• <br /> Contractor Res-"""q / 9 <br /> Address. _L rT Ts <br /> City, State, ZIP, gt r7j_0 <br /> Phone: °�) p� ►- TS-02 7-Sivrw 1 3 <br /> is authorized by Texaco Environmental Services to recover, Tr,hw T 1 31 :57- <br /> collect, apportion into loads, and haul the NON-HAZARDOUS <br /> WELL PURGEWATER that is drawn from wells at the Texaco "T'rMw <br /> facility listed below and to deliver that purgewater to an <br /> appropriate destination designated by TEXACO ENVIRONMENTAL Trinw <br /> SERVICES in either Redwood City, California or in Richmond, <br /> California Transport routing of the Non-Hazardous Well Total gals U added rinse <br /> Purgewater may be directed from one Texaco facility to the water <br /> designated desitnation point, from one Texaco facility to the Total Gals. Y£r_- <br /> designated destination point via another Texaco facility, from a Recovered a`ta <br /> Texaco facility via the contractor's facility, or any combination -- <br /> thereof The Non-Hazardous Well Purgewater is and remains the Job # / a30 yy n I _ <br /> property of Texaco Environmental Services (TES) Date o9 <br /> Time 1606 4�_ _------- -This SOURCE RECORD BILL OF LADING was initiated to cover Signature <br /> the recovery of Non-Hazardous Well Purgewater from wells at - - -L - <br /> f the Texaco facility described below RECD AT _F ek ��� ,, -- <br /> TEXACO #:_ %exA��, S'To�kla, Date _ C? -- �_ <br /> Address � Ale- <br /> �_ er7 C1�aR � Time <� <br /> City, State, ZIP* 57'_ Signature <br /> P IGWMPIFORMSITEX-BOL WK7 <br />